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Individual

DR. GREGORY ALLAN HOLMBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
#8 3RD STREET NW, OSSEO, MN 55316
(763) 493-3594
(763) 493-3594
Mailing address
#8 3RD STREET NW, OSSEO, MN 55316
(763) 493-3594
(763) 493-3594

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2060
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07257H0
BCBS MN
MN
01
0B175H0
BCBS MN
MN
Enumeration date
11/01/2006
Last updated
07/08/2007
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